— 降低風險 · EASY · SATA —
護理師照護一位有癲癇病史的病人，床邊應準備哪些設備？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which equipment should the nurse ensure is at the bedside? (Select all that apply.)
- AOxygen✓ 正解氧氣
- BSuction equipment✓ 正解抽吸設備
- CPadded side rails✓ 正解軟墊床欄
- DTongue depressor or oral airway壓舌板或口咽通氣道
- ESoft wrist restraints軟式手腕約束帶
— Explanation · 中文詳解 —
癲癇發作時的護理重點在於保護安全與維持呼吸道。床邊應備氧氣與抽吸管以處理發作後的缺氧或分泌物；床欄需加墊防止碰撞受傷。絕對禁止插入任何東西（如口腔通氣道），以免導致牙齒斷裂或阻塞呼吸道；亦不可使用約束帶，避免強行活動導致骨折。
Seizure precautions focus on protecting the airway and preventing injury. Oxygen and suction should be available at the bedside to manage post-ictal hypoxia and secretions; padded side rails reduce trauma from involuntary movements. Objects should never be placed in the mouth (risk of dental injury or airway obstruction), and restraints are contraindicated because they can cause fractures or muscle injury during convulsions.
✦ 台美臨床差異
美國護理指引強烈規範不可插入異物；台灣臨床部分資深人員仍有放置壓舌板的習慣，目前已全面教育修正。